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- Hand, foot, and mouth disease in pregnancy
- Hepatitis
- Hepatitis C:
- Need for prenatal testing. [9/01]
- Need for testing of children born to HCV-positive mothers. [9/01]
- Need for testing long-term steady sex partners. [9/01]
- Hirsutism. [2/02]
- H.I.V. infection:
- Hormone replacement, difficulties in management
- Hormone replacement questions; natural vs plant sources
- Hyperthermia in pregnancy, Sweat lodge
- Hyperthyroidism in pregnancy vs abnormal labs
- Hysterectomy: antibiotic prophylaxis recommended in all cases? [12/01]
- Hysterosalpingogram: antibiotic prophylaxis recommended in all cases? [12/01]
- Hysterscopic coil procedure, Essure
Q.How does one manage possible exposure to hand foot and mouth disease in pregnancy?
A.With reassurance, unless the mother has a febrile illness in the last week of pregnancy. (WORD 31k)
Q. Should we routinely test prenatal patients for Hepatitis C (HCV)? [9/01]
A. No, but providers should take histories from their patients designed to determine the need for testing and prevention measures, and those health care workers should be knowledgeable regarding HCV counseling, testing, and medical follow-up. Umbilical cord blood should not be for diagnosis of perinatal HCV infection because cord blood can be contaminated by maternal blood. For more information: downloadable PDF file (.PDF) file, 489K. Also available: online version (H.T.M.L.).
Q. Should children born to HCV positive women be routinely tested? [9/01]
A. Yes. Testing should not be performed before 12 months of age, when passively transferred maternal anti-HCV declines below detectable levels. IG and antiviral agents are not recommended for post exposure prophylaxis of infants born to HCV positive women. If earlier diagnosis is desired, RT-PCR for HCV RNA may be performed at or after the infant's first well-child visit at age 1-2 months. Umbilical cord blood should not be for diagnosis of perinatal HCV infection because cord blood can be contaminated by maternal blood. If positive for either anti-HCV or HCV RNA, children should be evaluated for the presence or development of liver disease, and those children with persistently elevated ALT levels should be referred to a specialist for medical management. For more information: downloadable PDF file (.PDF) file, 489K. Also available: online version (H.T.M.L.).
Q. Should long-term steady sex partners of HCV Positive Persons be routinely tested? [9/01]
A. This is uncertain. HCV positive persons with long-term steady sex partners do not need to change their sexual practices. Persons with HCV infection should discuss with their partner the need for counseling and testing. If the partner is negative the couple should be informed of available data regarding risk for HCV transmission by sexual activity to assist them in making decisions about precautions. If the partner tests positive, appropriate counseling and evaluation for the presence or development of liver disease should be provided. For more information: downloadable PDF file (.PDF) file, 489K. Also available: online version (H.T.M.L.)
Q. What is hirsuitism (excess hair) and what can I do about it? [2/02]
A. See The Endocrine Society and The American Academy of Family Physicians.
Q. Is antibiotic prophylaxis recommended with all hysterectomies? [12/01]
A. Yes, A.C.O.G. practice Bulletin #23 gives an 'A' Recommendation to antibiotic prophylaxis for BOTH abdominal and vaginal hysterectomy. (Link for A.C.O.G. members only.)
Q. Is antibiotic prophylaxis recommended with all hysterosalpingograms (H.S.G.)?
A. No, but if you find dilated tubes, then prophylaxis should be given to reduce post H.S.G. P.I.D. From: A.C.O.G. Practice Bulletin #23, 'B' Recommendation. (Link for A.C.O.G. members only.
Q. What does the Essure sterilization procedure entail?
A. A coil is placed in the fallopian tube / is 99.8 % effective. It needs a post-op HSG. See details (WORD 49k)
Q. Is my first trimester patient always hyperthyroid if her labs are abnormal?
A. No, not necessarily. If she is clinically stable, then wait till 18-20 weeks to decide. See details (WORD 46k)
Q. Should patients use sweat lodges during pregnancy?
A. A sweat lodge that does not elevate
the maternal core temperature would be acceptable. (WORD - 46K)
Q. What are the latest screening and treatment guidelines from the CDC?
A. The HHS AIDS info site has the updated HIV information.
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